Whalio Doctors

NPI 1184171860

St. Gregory Recovery Center, LLC

Organisation Substance Abuse Rehabilitation Facility Bayard, IA

Practice location

Address
601 2nd St, Bayard, IA 50029-7722
Phone
(888) 778-5833
Mailing address
5875 Fleur Dr, Des Moines, IA 50321-2883

Authorised official

Name
John Conway
Title
Chief Operating Officer
Phone
(515) 974-7487

Registered specialties

Substance Abuse Rehabilitation Facility Primary
Residential Treatment Facilities Taxonomy 324500000X Licence 1332 (IA)

Registry record

NPI
1184171860
Entity type
Organization
NPI issued
9 Sep 2016
Record last updated
9 Sep 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.